Charles R. Hutton D.D.S.,PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

54000691A Issued in IN

Legal business name

CHARLES R. HUTTON D.D.S.,PC

Practice address

201 E Adams St
Winamac, IN 46996-1567

Phone

(574) 946-6820

Fax

(574) 946-4323

NPI assigned

Aug 15, 2006

Last updated

Mar 12, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Charles Randall Hutton, D.D.S.NPI 1265545461

Title

President

Phone

(574) 946-6820

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Randall Hutton, D.D.S.

  • General Practice Dentistry
  • Winamac, IN
  • NPI 1265545461
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1083727291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E ADAMS ST",
            "city": "WINAMAC",
            "state": "IN",
            "postal_code": "469961567",
            "telephone_number": "574-946-6820",
            "fax_number": "574-946-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E ADAMS ST",
            "city": "WINAMAC",
            "state": "IN",
            "postal_code": "469961567",
            "telephone_number": "574-946-6820",
            "fax_number": "574-946-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES R. HUTTON D.D.S.,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "HUTTON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-946-6820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "54000691A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100210570A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Blystone
• Kristopher Douglas Bosi, MD
• Brian a Johnson MD PC
• Brian a Johnson MD PC (Brian a Johnson MD)
• Julie Chapman, RPH
• Tanya Marie Coe
• Dennis E. Cowley, O.D.
• Curtis Family Practice Inc
• Elizabeth Ann Curtis, D.O.
• Timothy Day, MD

• Dental Clinic/Center in Winamac, IN
• Providers in Winamac, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.